![]() PTSD treatment for soldiers after combat deployment: low utilization for mental health care and reasons for dropout. US Department of Veterans Affairs disability policies for posttraumatic stress disorder: administrative trends and implications for treatment, rehabilitation, and research. This is a significant paper as it reviews military PTSD rates, malingering and economic issues, and is written by two well-published authors in the field.įrueh BC, Grubaugh AL, Elhai JD, Buckley TC. ![]() Why are Iraq and Afghanistan War veterans seeking PTSD disability compensation at unprecedented rates? J Anxiety Disord. Department of the Air Force instruction on medical examinations and standards. PTSD and DSM-5: unintended consequences of change. Washington, DC: American Psychiatric Association 2000. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association 2013.ĪPA. ![]() Papers of particular interest, published recently, have been highlighted as: ĪPA. Our objectives are to improve the screening, diagnosis, and treatment of those service members who have survived trauma and to improve policies related to the military mental healthcare and disability systems. We also discuss critiques and proposals for future changes. ![]() We analyze the changes in classification, trauma definition, symptoms, symptom clusters, and subtypes and possible impacts on the military (e.g., over- and under-diagnosis, “drone” video exposure, subthreshold PTSD, and secondary PTSD). Many believe the changes will improve diagnosis and treatment, but some worry these could have negative clinical, occupational, and legal consequences. PTSD criteria changes were intended to integrate new knowledge acquired since previous DSM editions. Additionally, this study is novel in its identification of the SDs beneficial contributions to veterans’ comorbid problematic use of substances.This review addresses how changes in the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 posttraumatic stress disorder (PTSD) criteria has the potential to affect the care and careers of those who have served in the military, where the diagnosis often determines fitness for duty and veterans’ benefits. This study makes an important contribution to the emerging field examining the potential benefit of SDs for veterans diagnosed with PTSD. This was particularly evident during the early stages of training and bonding. However, veterans also highlighted ways in which their SDs sometimes contributed to increases in their PTSD and related symptoms, as well as their SU. While DUSI-R SU scale changes were non-significant, during interviews each veteran reported a decrease in their use of opioids and alcohol, while some reported an increase in their use of medical cannabis. Veterans offered accounts of ways in which their SDs directly supported and helped manage their PTSD and related symptoms. Interview content complemented these results. There were clinically significant decreases in the veterans’ PTSD scores with the PCL-5. PTSD and SU were measured at six time points over 1 year with the Posttraumatic Stress Disorder Checklist for the Diagnostic and Statistical Manual for Mental Disorders, 5th Edition (PCL-5), Drug Use Screening Inventory Revised Substance Use Subscale (DUSI-R SU), and one-onone semi-structured interviews. An exploratory patientoriented, longitudinal, time-series, mixed-methods research design was employed with a sample of five Canadian veterans matched with SDs from AUDEAMUS, Inc. Despite promising results, the efficacy of SDs in aiding veterans warrants further investigation. Veterans are increasingly seeking symptom relief for PTSD and comorbid SU by engaging service dogs (SDs). Comorbid posttraumatic stress disorder (PTSD) and substance use (SU) is a growing health concern among Canadian veterans.
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